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Developing Countries’ Vaccine Manufacturers’ Network International Improving vaccination for all people 1 CONFIDENTIAL - DRAFT - FOR INTERNAL USE ONLY

Manufacturers’ Network · 2019. 6. 15. · already “engaged” by DVMN 14 2 funding calls – Oct 2018 and Feb 2019 (up to $50,000) for consultancy support for developing country

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  • Developing Countries’ Vaccine Manufacturers’ Network

    International

    Improving vaccination for all people

    1 CONFIDENTIAL - DRAFT - FOR INTERNAL USE ONLY

  • Mission: our purpose and mandate

    • To protect all people against known and emerging infectious diseases, by improving the availability of high-quality vaccines globally.

    2 CONFIDENTIAL - DRAFT - FOR INTERNAL

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  • DCVMN International

    • It is a voluntary, non-governmental, non-partisan, not-for-profit, public health driven alliance of vaccine manufacturers, research and policy organizations from all over the world.

    • Operates based on principles of international scientific, technical and economic cooperation.

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  • Developing Countries Economies

    4

    transitioning to developed economy

    developing economies according to the UN & IMF

    https://www.un.org/development/desa/dpad/wp-content/uploads/sites/45/WESP2019_BOOK-web.pdf

    http://en.wikipedia.org/wiki/File:Developing_countries_map.pnghttp://en.wikipedia.org/wiki/Developed_economyhttps://www.un.org/development/desa/dpad/wp-content/uploads/sites/45/WESP2019_BOOK-web.pdfhttps://www.un.org/development/desa/dpad/wp-content/uploads/sites/45/WESP2019_BOOK-web.pdfhttps://www.un.org/development/desa/dpad/wp-content/uploads/sites/45/WESP2019_BOOK-web.pdfhttps://www.un.org/development/desa/dpad/wp-content/uploads/sites/45/WESP2019_BOOK-web.pdfhttps://www.un.org/development/desa/dpad/wp-content/uploads/sites/45/WESP2019_BOOK-web.pdf

  • DCVMN 2019: 44 manufacturers from 14 countries/territories

    Latin America

    Middle East Africa Asia Pacific 10‘772

    4‘412

    52‘872 60‘802

    11‘217

    Members as of January 2019 Members with WHO PQ vaccines 5

    number of birth cohorts 2015 regionally are indicated in black (x1000) http://www.who.int/immunization/monitoring_surveillance/data/en/

    http://www.who.int/immunization/monitoring_surveillance/data/en/

  • Our Challenge : vaccination to all people Our Chance: partnerships

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    The developing world needs more vaccines

    https://www.gatesnotes.com/2017-Annual-Letter

    1980 Smallpox Eradication

    4 billion

    Gavi, DCVMN, GF EVI, IVI, IVR, MMV, UNAIDS, STOP TB…

    1988: Polio Eradication

    penicillin in 1928

    https://www.gatesnotes.com/2017-Annual-Letterhttps://www.gatesnotes.com/2017-Annual-Letterhttps://www.gatesnotes.com/2017-Annual-Letterhttps://www.gatesnotes.com/2017-Annual-Letterhttps://www.gatesnotes.com/2017-Annual-Letter

  • DCVMN Contributions to the Global Vaccination Landscape

    Tetanus elimination

  • Initiatives 2019-2021 to Support DCVMs

    Our main 3 goals are to: A) build technical capabilities and strengthen capacity of MFs to produce and deliver quality

    vaccines across the long-term, B) proactively engage DCVMN members on priority issues shaping the broader landscape (e.g.,

    regulatory knowledge, supply chain, etc.) and C) establish more systematic & proactive dialogue with international bodies to shape DCVM

    issues. Interviews and extensive discussions were conducted with members and 6 initiatives were recommended: 1. Training: Expand current QMS programs to include training on GMP, GCP, GLP, GDP, PV,

    etc. 2. Best-practice sharing: foster peer to peer communication through expert working groups 3. Advance regulatory convergence: support efforts to new approaches on a regional basis 4. Increase access to international expert consultants for needed ad hoc support 5. Engage MFs on new technology adoption through AGM 6. Support for pharmacovigilance (PV) projects to enhance vaccines safety monitoring

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  • 1. Teach to Reach

    CONFIDENTIAL - DRAFT - FOR INTERNAL USE ONLY

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  • 1. Training: Expand current QMS programs to include training on GMP, GCP, GLP, GDP, PV, and other issues

    CONFIDENTIAL - DRAFT - FOR INTERNAL USE ONLY

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  • Immersive learning: investing in people to create innovative mindset & enablement prior to “hands on”

    CONFIDENTIAL - DRAFT - FOR INTERNAL USE ONLY

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    3 «hands-on» main scenarios where VR training can impact operational capacity: 1. Equipment operation 2. Emergency management 3. Laboratory (testing/formulation)

    https://drive.google.com/file/d/1xeF3Lm8rNgeU0YFH6hE3NExnDOIkxvxF/view

    VR hands on training Training Chain: relay training

    Focus on QC assays to improve technology /methodology, reducing risks and inspections

    Support QC Team training in a expert QC lab (NIBSC/ISS/ etc.) for new testing assays: One “trainee” at a time (2-4 weeks), on a relay setting to

    build strong teams (3-5 people). Next trainee comes only when the previous returned and passed on the knowledge

    Enables common understanding of the whole process and team building and 3Rs, and sustainability

    https://drive.google.com/file/d/1xeF3Lm8rNgeU0YFH6hE3NExnDOIkxvxF/view

  • 2. Expert Networking

    • Enhance best-practice sharing, and peer to peer communications through expert working groups and hands-on training, as possible

    – Supply-chain experts working group

    – Vaccine Safety best-practices

    – QC assays & technologies

    – Formulation & filling expertise

    – Etc…

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  • 3. Foster dialogue to advance regulatory

    convergence approaches

    Challenges to registrations were identified by an independent expert consultant and discussed with members

    Create consensus among manufacturers from both DCVMN-IFPMA on key points for dialogue before communicating with NRAs

    Two papers published, increasing awareness of challenges and solutions

    Supporting regulatory open discussions at stakeholder meetings, as for example:

    AVAREF, ICDRA, ASEAN, PANDHR, CoRE

    Study on changes/variations to improve vaccines’ access

    3Rs: innovative assays to reduce animal use

    13

    https://www.ncbi.nlm.nih.gov/pubmed/29724510

    In press

    https://www.ncbi.nlm.nih.gov/pubmed/29724510

  • 4. Access to International Experts • DCVMN’s Consultants Portal at

    www.dcvmn.org • Consultants register themselves in

    the DCVMN database – Centralized pool of expertise – Transparency on qualifications – Consultants based in 22 countries – Declared availability to DCVMN and to Members – Not working for other manufacturers and

    “moonlighting”

    • > 100 registered consultants; ca. 50% already “engaged” by DCVMN

    14

    2 funding calls – Oct 2018 and Feb 2019 (up to $50,000) for consultancy support for developing country members of DCVMN. FVMR Hub awarded $90,000 to two such members (one manufacturer in China and another in India). Next call in ~Oct 2019.

    • How to ensure calls meet needs of manufacturers

    • How to improve the quality of the application

    • How to grow enduring partnerships

    http://www.dcvmn.org/

  • 5. Engage members on innovative technologies adoption

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    30th October 2018, AGM, Bill Gates: “looking forward to the partnerships we can have over the next decade” https://www.dcvmn.org/IMG/pdf/bill_gates_kunming_video_news.pdf

    https://www.dcvmn.org/IMG/pdf/bill_gates_kunming_video_news.pdf

  • 6. Pharmacovigilance (PV) to improving vaccines safety monitoring

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  • Number of DCVMs PQed vaccines over 25 years: DCVMN works

    17 (*Sanofi = 30; GSK = 17; Seqirus = 6; MSD = 4; J&J = 2; Pfizer = 2, among others MFs) https://extranet.who.int/gavi/PQ_Web/

    Manufacturer/Year 1993 1995 1996 1997 1999 2000 2001 2003 2004 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 PQ vaccines Manufacturer

    Bharat/India 1 2 1 4 Bharat

    BioE/India 1 1 2 1 2 1 1 9 BioE

    BioM/Brazil 1 1 2 BioM

    Cadila HC 1 1

    CNBG/China 1 1 2 CNBG

    EuBiologics/Korea 1 1 2 EuBiologics

    GreenCross/Korea 1 1 1 1 1 5 GreenCross

    Green Signal/India 1 1 GreenSignal

    Haffkine/India 1 1 1 3 Haffkine

    LG Chem/Korea 1 1 1 3 LGChem

    Panacea/India 1 1 2 Panacea

    Biofarma/Indonesia 2 2 1 1 2 1 1 1 1 1 1 14 Biofarma

    Serum Institute/India 1 3 1 2 1 2 1 3 1 1 2 1 1 2 22 Serum Institute of India

    Sinovac/China 1 1 Sinovac

    SK Biosciences 1 1Total 15 1 3 1 2 2 1 2 3 3 4 1 1 3 6 3 5 4 5 5 4 7 6 2 72 from ca. 146 Total

    # PQ vaccines 10 23 41

    # PQed vaccines # MFs with PQ

    https://extranet.who.int/gavi/PQ_Web/

  • Memberships and Strong Partnerships towards building healthy countries

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    Credit: http://www.vibincblog.com/?tag=partnership

    “Coming together is a beginning;

    keeping together is progress;

    working together is success.”

    http://www.vibincblog.com/?tag=partnershiphttp://www.vibincblog.com/?tag=partnership

  • 3Rs

    • Reliable: – able to be trusted; consistently good in quality or

    performance: «yes means yes, no means no» attitude

    • Responsive:

    – responding readily and with interest or enthusiasm: «answer to queries, emails, reports, etc.» attitude

    • Responsible:

    – be answerable for one's actions; having control over or accountable for something, as part of one's job/ role.

    – “Yes, I do” , “yes, I can” , “yes, I will” attitude

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  • DCVMN Collaborating organizations and Partners

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    http://www.gea.com/http://www.biozeen.com/https://www.gavi.org/http://en.wikipedia.org/wiki/PATH_(global_health_organization)http://www.rommelag.com/

  • DCVMN International

    www.dcvmn.org

    Individually we are one drop, together we are an ocean Ryunosuke Satoro

    http://www.dcvmn.org/